Nishant Agrawal
NPI 1265571061 · Otolaryngology Physician · Chicago, IL
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nishant Agrawal is a Otolaryngology Physician provider in Chicago, IL (NPI 1265571061).
Provider details
- NPI number
- 1265571061
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 01084591A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
826 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 201 | $72 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 156 | $77 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 117 | $106 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 100 | $18 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 51 | $141 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Dexamethasone | 32 | — |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 20 | 14 |
| Pentoxifylline | 20 | — |
| Nystatin | 16 | 13 |
| Omeprazole | 14 | — |
| Fluconazole | 13 | — |
| Chlorhexidine Gluconate | 12 | — |
These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$208 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 10855 Virginia StCrown Point, IN 46307-0210Phone: (888) 824-0200
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Nishant Agrawal's NPI number?
- Nishant Agrawal's National Provider Identifier (NPI) is 1265571061, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nishant Agrawal's specialty?
- Nishant Agrawal is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Nishant Agrawal located?
- Nishant Agrawal's practice location on file with NPPES is 5841 S Maryland Ave, Chicago, IL 60637-1443.
- What is Nishant Agrawal's phone number?
- The practice phone number listed in the NPPES registry for Nishant Agrawal is (888) 824-0200.
- Does Nishant Agrawal accept Medicare?
- Nishant Agrawal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nishant Agrawal's NPI active?
- Yes — Nishant Agrawal's NPI (1265571061) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.